Organization · Type 2 NPI

Carolyn N. Ketchel, P.a.

Clinical Social Worker · Mary Esther, FL

NPI number 1275877086 Active

Practice location

151 Mary Esther Blvd, Suite 302
Mary Esther, FL 32569-1973

Fax (850) 301-0671

Mailing address

PO Box 7
Shalimar, FL 32579-0007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW4709 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1275877086

Carolyn N. Ketchel, P.a.'s National Provider Identifier is 1275877086, issued on Nov 16, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mary Esther, FL. The record was last updated on Feb 12, 2014.